Hypothalamus and Pituitary Flashcards

1
Q

What are the general functions of the hypothalamus?

A

Homeostasis

Endocrine regulation

Autonomic regulation

Limbic system

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2
Q

What are the two subdivisions of the pituitary?

A

Anterior lobe/adenohypophysis

Posterior lobe/neurohypophysis

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3
Q

What are the regions of the hypothalamus?

A

Preoptic, anterior, tuberal, posterior

Anterior –> posterior

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4
Q

What are the zones of the hypothalamus?

A

Periventricular - thin layer of cells just inside the ependymal cell layer of the third ventricle

Medial

Lateral

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5
Q

What is the medial forebrain bundle?

A

Axonal pathway in the lateral zone that connects the vasal forebrain, hypothalamus and brainstem tegmentum

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6
Q

What part of the hypothalamus is involved in feeding and satiety?

A

Lateral hypothalamic area

Ventromedial nucleus -satiety center

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7
Q

What part of the hypothalamus is involved in sleep and circadian rhythms?

A

Ventrolateral preoptic area

Tuberomammillary nucleus - histamine neurons helps maintain waking state

Suprechiasmatic nucleus - receives light input, master clock

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8
Q

What part of the hypothalamus releases regulating factors that affect secretion from the anterior pituitary?

A

Arcuate nucleus

Paraventricular nucleus

Medial preoptic area

All project to the median eminence

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9
Q

What part of the hypothalamus release hormones from the posterior pituitary?

A

Suproptic nucleus and paraventricular nucleus

Release oxytocin and vasopressin

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10
Q

What parts of the hypothalamus are involved in autonomic control?

A

PAraventricular, dorsomedial, lateral, and posterior nuclei

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11
Q

What part of the hypothalamus is involved in memory?

A

Mammillary bodies

Part of memory forming circuit, implicated in Wernicke-Korsakoff syndrome

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12
Q

What parts of the hypothalamus are involved in thermoregulation?

A

Anterior hypothalamus - activates heat dissipation mechanisms

Posterior hypothalamus - activates heat conservation

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13
Q

What are the major inputs to the hypothalamus?

A

Visceral sensory - from spinal cord, solitary nucleus, anterolateral system

Blood properties - From circumventricular organs (outside BBB)

Light information - optic pathway

Integration of emotion with autonomic and homeostatic function, and memory formation - prefrontal and limbic areas, hippocampus and amygdala

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14
Q

What are the major outputs from the hypothalamus?

A

Regulates preganglionic autonomic neurons via output through the medial forebrain bundle

Connections to the prefrontal, limbic, himmocampus, amygdala - regulation of behavior

Output to pituitary for control of endocrine function

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15
Q

Describe the hypothalamic-pituitary-adrenal axis

A

Corticotropin releasing hormone from hypothalamus–>adrenocorticotropic hormone (ACTH) released from anterior pituitary –>Release of corticosteriod hormones from adrenal cortex

Cortisol feeds back to the hypothalamus and anterior pituitary

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16
Q

What is the clinical significance of pituitary adenomas?

A

85% of them secrete one or more pituitary hormones, leading to endocrine disturbances

Large tumors can also compress the optic chiasms causing bitemporal hemianopia

17
Q

What is panhypopituitarism?

A

Deficiency of all piituitary phormones

Can be caused by tumors, infections, autoimmune disorders

Requires hormone replacement